Blindness/Visual Impairment/Bleb issue.


Dear Sir,

After Trabeculectomy in BEs in 2005,my wife had frequent issues of watering,pain & itching in RE.
On Autologous Blood injection,in May 2012,the issues are minimized to great extent.
Recently her RE got swollen & she had pain but no watering,itching.
Treating Surgeon examined & observed no leak from Bleb on Dye check,but bleb is inflamed.
He prescribed Flarex & Gatifloxacin-0.3%eye drops thrice a day for 5days
to combat against inflammation & any likely bacterial infection on Bleb.
She got relief in a day from pain.Her RE Eye-lid still remains swollen,with little pain on Right-corner.
Sir,overfiltration in RE is from day-one,with resulting IOP:5/6mm Hg.

My question is whether such occurence might induce the bleb failure!
What are the symptoms of bleb leak & whether it is emergency?
What precautions are proposed,as she is periodically moinitored every 3/4 months.
Your advice is requested.
warm regards,

Dr Mannu C Rajnani
Dr Mannu C Rajnani  

Thank you for asking query

YES since your eye doctor has advised local eye drops you need to continue flarex which will reduce the inflammation which is the primary cause of eye becoming red , pain and also eye lid swelling
in case it doesnt settle down steroids drops for few days may help relieve symptoms faster provided she is NOT STEROID RESPONDER, otherwise steroids contraindicated
if there is over filtration need to repeat blood injection to induce fibrosis and minimize over filtration

Dr Mannu C Rajnani, Dr Mannu Laser Eye Surgeries
1st Floor, Saraswati Society PLOT 433 TPS 3 15th Road
Khar West Bombay 400052  Tel: +91 22 26006801 - 26004467 - 96644101201
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Blindness/Visual Impairment

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Dr Mannu C Rajnani


I am a Laser Eye Surgeon specializing in LASIK-Excimer Laser to remove glasses permanently, Phacoemulsification-No stitch surgery to remove Cataract and insertion of Intraocular Lens, Glaucoma, Squint Surgeries, Laser for retina for hypertension and diabetes


Practicing since more than 27 years now and conducted thousands of surgeries for LASIK (waveguide), Cataract,Phacoemulsification, Glaucoma and Squint in anterior segment of the eye

DR MANNU LASER EYE SURGERIES At 1st Floor Saraswati Society Plot 433 TPS3 Khar(West) Bombay 400052 India,Tel: 91-22-26006801-26004467&26007828 Mobile:91-9821032072 Bombay Ophthalmological Association, Maharashtra Ophthalmology Association All India Ophthalmology Association Glaucoma society of India Eye Trauma association of India

M.B.S., D.O.M.S., M.S.(Ophthalmology)

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